REFLECTIONS ON CLASSIFICATION SIGNS OF PILONIDAL DISEASE IN CHILDREN

Анотація

The history of knowledge about pilonidal disease has been going on for more than 150 years, and so far no single concept has been developed on the cause, modeling and clear single classification, which is the key to a thorough understanding of this pathology. The classification of any disease, including pilonidal disease, should take into account the development, course and features of clinical forms, due to and on the basis of which a clinical diagnosis is formed. This helps to choose the most optimal individual method and treatment plan.

Purpose: on the basis of the factual material accumulated over more than 150 years of history to develop clinically oriented classification features of pilonidal disease, taking into account the characteristics of childhood.

Materials and methods: The paper deals with all currently available published options and proposals for the formation of classifications of pilonidal disease. We also formulated our own views on the formation of the classification of pilonidal disease on the basis of research and reflection.

Results of research: On the basis of combination of experience of predecessors, own researches and reflections we offered clinically oriented classification signs of a disease at children on the basis of features of an etiopathogenesis of patients characteristic of this age. First of all, the main differences of the pediatric group of patients from adults were taken into account: impossibility due to age features of the long course of the disease, presence of morphometric features of the external anal sphincter structure, presence of immature mesenchymal tissue in the pilonidal cyst cavity.

Conclusions:

1. In modern pediatric surgery there is an urgent need to develop and implement in clinical practice unified classification features of pilonidal disease.
2. Differences in the classification of pilonidal disease in children should be a number of morphological, etiopathogenetic, anatomical and clinical differences from adults.
3. The use in clinical practice of the developed classification features of pilonidal disease in children will determine the clinical variants of the disease and choose the most optimal tactics of surgical treatment.